| NPI | 1508316258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203857) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254107) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2024-01-17 |